Organization
LA PORTE REGIONAL PHYSICIAN NETWORK
Active
Other names
Dalphond Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VOLK (EXECUTIVE DIRECTOR)
(219) 326-2485
Entity
Organization
Contact information
Practice address
108 W STATE ST, NORTH JUDSON, IN 46366-1320
(574) 896-5533
(574) 896-5218
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100165070E
—
IN
01
—
760420
MEDICARE
IN
Enumeration date
08/05/2008
Last updated
04/22/2009
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